胸腰段脊柱骨折患者医院感染影响因素分析

发布时间：2018-03-11 14:12

  本文选题：胸腰段　切入点：骨折　出处：《中国矫形外科杂志》2017年10期 　论文类型：期刊论文

【摘要】：[目的]分析胸腰段脊柱骨折患者发生医院感染的影响因素并提出防治措施。[方法]回顾2010年1月~2015年12月264例胸腰段脊柱骨折患者的临床资料,收集并逐一记录每位患者的性别、年龄、TLICS评分、是否有机械通气和保留导尿等侵入治疗、采取保守或手术治疗方式、是否有复合伤、入住ICU、住院天数、合并甚而基础疾病与卧床时间等临床资料,对其医院感染的影响因素进行分析。[结果]单因素分析结果显示患者年龄大、TLICS评分高、侵入性操作、入住ICU、住院时间(d)、合并基础疾病、卧床时间长(d)和使用糖皮质激素≥3(d)等8个因素均是医院感染的危险因素(P0.05),手术治疗是医院感染保护性因素(P0.05);logistic回归分析显示其中年龄(OR1.050,95%C1.006~1.095)、TLICS评分高(OR4.465,95%1.949~10.230)、侵入性操作(OR11.849,95%CI3.302~42.523)和卧床时间(d)(OR1.368,95%CI1.215~1.541)等4个因素是独立危险因素。[结论]胸腰段脊柱骨折患者发生医院感染受多种因素影响,应针对相关危险因素特别是独立危险因素采取防控,增加保护性措施,减少医院感染发生。
[Abstract]:[objective] to analyze the influencing factors of nosocomial infection in patients with thoracolumbar spinal fractures and to put forward the preventive and therapeutic measures. [methods] the clinical data of 264 patients with thoracolumbar spinal fractures from January 2010 to December 2015 were reviewed. Each patient's gender, age and TLICS scores were collected and recorded one by one. Whether there were mechanical ventilation or retention catheterization, conservative or surgical treatment, compound injury, ICU, hospital stay, etc. The factors influencing the nosocomial infection were analyzed. [results] the univariate analysis showed that the patients had high TLICS score and invasive operation. Stay in ICU, stay in hospital for a long time, combine with basic diseases, Eight risk factors of nosocomial infection, such as prolonged bed stay and use of glucocorticoid 鈮，

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